Intervention control of aerobic exercise in maintaining quality of life and pulmonary hypertension in hemodialysis patients

BACKGROUND Pulmonary hypertension is a serious complication in the treatment of maintenance hemodialysis patients,which seriously affects the quality of life of patients and threatens their life safety.Prevention,treatment and improvement of pulmonary hypertension are of great significance to improve the quality of life of patients.AIM To investigate the intervention and control of pedal-powered bicycle in maintaining quality of life and pulmonary hypertension in hemodialysis patients.METHODS 73 patients with maintenance hemadialysis combined with pulmonary arterial hypertension at a hemodialysis center in a certain hospital from May 2021 to May 2022 are selected.Patients are divided into two groups,37 cases in the control group(group C)and 36 cases in the intervention group(group I).Patients are divided into two groups,group C is treated with oral administration of betaglandin sodium combined with routine nursing care.Based on group C,group I conducts power cycling exercises.RESULTS After treatment,group I patients had higher muscle strength,36-Item Short Form Health Survey scores,and Kidney Disease Targets Areas scores;The 6-minute walk distance test index level was higher and the Borg score was lower;The group I had lower systolic blood pressure,greater vital capacity,higher positive emotion,lower systolic pulmonary artery pressure index level,higher arterial partial oxygen pressure level,lower pulmonary vascular resistance index level,and higher blood oxygen saturation level[158.91±11.89 vs 152.56±12.81,1795.01±603.18 vs 1907.20±574.15,24.00(22.00,29.00)vs 24.00(22.00,28.00),P<0.001].CONCLUSION Aerobic exercise combined with Western medicine treatment can effectively improve patients'pulmonary hypertension,alleviate their negative emotions,and enable them to achieve a higher level of quality of life.

Impact of a 12-wk physical conditioning program on the aerobic capacity of aviation cadets

BACKGROUND Flight cadets need to have good physical fitness to cope with the challenges of flying missions.The continuous development of science and technology has led to the constant upgrading of fighter jets and the improvement of their performance,which has resulted in new and higher requirements for the physical fitness of flight personnel.The traditional physical training mode,method,and assessment have been used for many years and do not meet current fitness needs.AIM To investigate the impact of a 12-wk comprehensive anti-G fitness training program on the aerobic capacity of aviation cadets and to evaluate its effectiveness.METHODS Fifty-five cadets were randomly assigned to control and experimental groups using a randomized,single-blind design.The control group maintained their existing training regimen,while the experimental group participated in a 12-wk comprehensive training intervention.The training program comprised strength training twice per week,high-intensity interval training three times per week,and supplemental nutritional and psychological support.Maximal oxygen uptake(VO2max),lower limb strength,and hemoglobin levels were measured at baseline,at 6 wk and 12 wk post-intervention.RESULTS Repeated measures analysis of variance revealed significant differences of both VO2max and relative VO2 in both groups across time points(P<0.05).However,no significant time-group interaction was observed(P>0.05).Paired t-tests comparing baseline and 12-wk results showed that VO2max and relative VO2 were significantly higher in the experimental group than the control group(P<0.05).This suggests that the training program effectively enhanced the aerobic capacity of the experimental group.Key indicators of aerobic capacity,bilateral lower limb strength and hemoglobin levels,were also significantly different over time and between groups(P<0.05).No significant differences were noted in heart-rate metrics(P>0.05).CONCLUSION A 12-wk comprehensive anti-G fitness training program significantly improved the aerobic capacity of aviation cadets,thereby enhancing their overall capacity and laying a physiological foundation for enduring high-G flights.

Role of aerobic glycolysis in alzheimer's disease and research progress of traditional Chinese medicine

Alzheimer's disease (AD) is an irreversible neurodegenerative disease with a variety of pathogenic factors and complex pathogenesis, so that the disease has a high prevalence and mortality in the world. Although the current diagnosis and treatment equipment and drug research and development keep pace with the times, the current medical technology still can not completely cure the disease, so it is of great significance to explore the pathogenesis and treatment target of AD. The disorder of energy metabolism is one of the characteristic changes in the pathological process of AD. Aerobic glycolysis (AEG) is a special metabolic pathway in the brain, which can rapidly consume glucose to produce energy and substrate for neurons, improve synaptic plasticity, neuroinflammation and oxidative damage, and contribute to the recovery of memory and cognitive function. In recent years, many literatures have reported the mechanism of AEG in AD and the intervention of Tradit Chin Med on this mechanism. The purpose of this paper is to summarize the role of AEG in AD and the related research on the regulation and control of AEG in the treatment of AD by Tradit Chin Med, in order to provide reference and ideas for the prevention and treatment of AD with Tradit Chin Med in the future.

An Innovative Approach towards Selecting Aerobic and Coordinative Exercises in Clinical Practice for Children and Young People with ADHD

A growing body of studies and systematic reviews show evidence of the beneficial effects of physical exercise on core symptoms of ADHD. Furthermore, studies indicate that physical exercise as an adjuvant can enhance the effects of medication in the treatment of ADHD. Aerobic and coordinative exercises improve executive functioning through their effect on neurocognitive domains that are implicated in ADHD. It is postulated that through their specific modus operandi, aerobic exercise, by raising cortical arousal levels, improves impaired alerting functions whereas coordinative exercises improve the regulation of inhibitory control through the involvement of a higher variety of frontal-dependent cognitive processes. The increasing use of routine neurocognitive testing with continuous performance tests (CPT), such as the QbTest, at clinical assessments for ADHD allows for an innovative approach to identify the assessment impairments in alerting function and inhibition control that are related to ADHD and accordingly choose aerobic or coordinative physical exercise in a more targeted fashion.

Anaerobic-aerobic processes for the treatment of textile dyeing wastewater containing three commercial reactive azo dyes:Effect of number of stages and bioreactor type

In this study,the effect of number of stages and bioreactor type on the removal performance of a sequential anaerobic-aerobic process employing activated sludge for the treatment of a simulated textile dyeing wastewater containing three commercial reactive azo dyes was considered.Two stage processes performed better than one stage ones,both in terms of overall organic and color removal,as well as the higher contribution of anaerobic stage to the overall removal performance,thereby making them a more energy efficient option.The employment of a moving bed sequencing batch biofilm reactor,which uses both suspended and attached biomass,for the implementation of the anaerobic stage of the process,was compared with a sequencing batch reactor that only employs suspended biomass.The results showed that,although there was no meaningful difference in biomass concentration between the two bioreactors,the latter reactor had better performance in terms of chemical oxygen demand(COD)removal efficiency and rate and color removal rate.Further exploratory tests revealed a difference between the roles of suspended and attached bacterial populations,with the former yielding better color removal whilst the latter had better COD removal performance.The sequential anaerobic–aerobic process,employing an aerobic membrane bioreactor in the aerobic stage resulted in COD and color removal of 77.1±7.9%and 79.9±1.5%,respectively.The incomplete COD and color removal was attributed to the presence of soluble microbial products in the effluent and the autoxidation of dye reduction metabolites,respectively.Also,aerobic partial mineralization of the dye reduction metabolites,was experimentally observed.

Assessing quinoline removal performances of an aerobic continuous moving bed biofilm reactor(MBBR) bioaugmented with Pseudomonas citronellolis LV1

This study evaluated the bioaugmentation potential of a quinoline-degrading strain Pseudomonas citronellolis LV1 inoculation into activated sludge for treating quinoline wastewater, and results indicated the inoculation of LV1 in aerobic continuous MBBR could substantially improve the quinoline removal performance with an improved removal efficiency of 34% averagely when quinoline was used as the sole carbon and nitrogen source. Additionally, efficient removal of quinoline in enhanced MBBR occurred at the influent p H of 7.0–8.0, hydraulic retention time(HRT) of 24–28 h and influent quinoline concentration of 100–700 mg·L^(-1). High-throughput sequencing analysis indicated that bioaugmentation could increase microbial diversity and shape the microbial community structure. Although the inoculant LV1 did not remain its dominance in stage Ⅲ, bioaugmentation indeed induced the formation of effective microbial community, and the indigenous microbes including Flavobacterium, Pseudoxanthomonas,Pseudomonas, Vermamoeba, Dyadobacter and Sphingomonas might play the key role in quinoline removal.According to the PICRUSt, the enhanced genes encoding aromatic ring-cleavage enzyme, especially for Nheterocyclic ring-cleavage enzymes, could lead to the improved removal performance of quinoline in bioaugmentation stage. Moreover, the enhanced MBBR treated well actual coking wastewater, as indicated by high removal performance of quinoline, phenol and COD.

Effect of Resistance Training,Aerobic Exercise Before Doula-Assisted Delivery on the Psychological Well-Being and Labor Duration of Parturients

Objective:To investigate the impact of resistance training and aerobic exercise before doula-assisted delivery on the psychological well-being and labor duration of parturients.Methods:105 cases of parturients who gave birth in our hospital from February 2021 to April 2023 were included in this study.The patients were divided into a control group of 52 cases and an observation group of 53 cases.The patients in the control group received no particular intervention before delivery and only received doula assistance.The patients in the observation group received resistance training,aerobic exercise,and doula assistance prior to giving birth.After delivery,the mothers were observed for 2 hours in the delivery room and then returned to the maternal and infant ward.The observation indicators of the two groups were compared.Results:In comparison to the control group,the observation group exhibited shorter durations in the first,second,and third stages of labor,as well as the total delivery time.Additionally,the amount of postpartum blood loss at 2 hours was smaller in the observation group.The rate of cesarean section was lower,and the rate of vaginal natural delivery was higher in the observation group.Following the intervention,both groups of postpartum women showed decreased SAS and SDS scores compared to before the intervention.Moreover,the observation group had lower scores than the control group.These differences were all statistically significant(P<0.05).Conclusion:Resistance training and aerobic exercise before doula-assisted delivery can effectively improve the psychological state of parturients,shorten labor duration,increase the rate of natural vaginal delivery,and reduce pain and postpartum hemorrhage.

Removal of nitrogen and phosphorus in a combined A^2/O-BAF system with a short aerobic SRT

A bench-scale anaerobic/anoxic/aerobic process-biological aerated filter （A^2/O-BAF） combined system was carded out to treat wastewater with lower C/N and C/P ratios. The A^2/O process was operated in a short aerobic sludge retention time （SRT） for organic pollutants and phosphorus removal, and denitrification. The subsequent BAF process was mainly used for nitrification. The BAF effluent was partially returned to anoxic zone of the A^2/O process to provide electron acceptors for denitrification and anoxic P uptake. This unique system formed an environment for reproducing the denitdfying phosphate-accumulating organisms （DPAOs）. The ratio of DPAOs to phosphorus accumulating organisms （PAOs） could be maintained at 28% by optimizing the organic loads in the anaerobic zone and the nitrate loads into the anoxic zone in the A^2/O process. The aerobic phosphorus over-uptake and discharge of excess activated sludge was the main mechanism of phosphorus removal in the combined system. The aerobic SRT of the A^2/O process should meet the demands for the development of aerobic PAOs and the restraint on the nitrifiers growth, and the contact time in the aerobic zone of the A^2/O process should be longer than 30 min, which ensured efficient phosphorus removal in the combined system. The adequate BAF effluent return rates should be controlled with 1--4 mg/L nitrate nitrogen in the anoxic zone effluent of A^2/O process to achieve the optimal nitrogen and phosphorus removal efficiencies.

Effect of aerobic and anaerobic exercises on glycemic control in type 1 diabetic youths

AIM:To evaluate the long-term effect of aerobic and/or anaerobic exercise on glycemic control in youths with type 1 diabetes.METHODS:Literature review was performed in spring and summer 2014 using Pub Med/MEDLINE,Google Scholar,Scopus,and Science Direct with the following terms:aerobic,anaerobic,high-intensity,resistance,exercise/training,combined with glycemic/metabolic control,glycated haemoglobin A1c(Hb A1c) and type 1diabetes.Only peer-reviewed articles in English were included published in the last 15 years.It was selected from 1999 to 2014.Glycemic control was measured with Hb A1 c.Studies with an intervention lasting at least 12 wk were included if the Hb A1 c was measured before and after the intervention.RESULTS:A total of nine articles were found,and they were published between the years of 2002-2011.The sample size was 401 diabetic youths(166 males and 235 females) with an age range of 10-19 years except one study,in which the age range was 13-30 years.Study participants were from Australia,Tunisia,Lithuania,Taiwan,Turkey,Brazilia,Belgium,Egypt and France.Four studies were aerobic-based,four were combined aerobic and anaerobic programs,and one compared aerobic exercise to anaerobic one.Available studies had insufficient evidence that any type of exercise or combined training would clearly improve the glycemic control in type 1 diabetic youth.Only three(two aerobic-based and one combined) studies could provide a significant positive change in glycemic control.CONCLUSION:The regular physical exercise has several other valuable physiological and health benefits that justify the inclusion of exercise in pediatric diabetes treatment and care.

Cultivation and characters of aerobic granules for pentachlorophenol(PCP) degradation under microaerobic condition

Cultivation of aerobic granular sludge for pentachlorophenol(PCP) degradation under microaerobic condition(DO concentration was controlled at 0.2—0.7 mg/L) was studied in this paper. Anaerobic granules were selected as inoculum. The changes of appearance were observed and the variations of SVI, VSS/TSS, PN/PS and the size of sludge were measured during cultivating. The capabilities for degradation of PCP, AOX and COD_ Cr were also studied. Observations on mature granules were carried out by scanning electron microscope, and the results indicated bacillus was dominant on the surface of granules while in the inner of granules both bacillus and coccus were the dominant microorganisms. K, Na, Fe, Ca, Mg, Ni, Co, Mn, Cu and Zn were detected in the granules by element analysis.

Aerobic vs anaerobic exercise training effects on the cardiovascular system

Physical exercise is one of the most effective methods to help prevent cardiovascular(CV) disease and to promote CV health. Aerobic and anaerobic exercises are two types of exercise that differ based on the intensity, interval and types of muscle fibers incorporated. In this article, we aim to further elaborate on these two categories of physical exercise and to help decipher which provides the most effective means of promoting CV health.

Screening and Toxicity Determination of Intestinal Aerobic Bacteria in 2^(nd) instar Larvae of Dendrolimu Kikuchii

[ Objective ] The paper was to screen intestinal aerobic bacteria from 2nd instar larvae of Dendrolimu kikuchii and determine its toxicity. [ Method ] The intestinal samples of 2nd instar larvae of D. kikuchii were diluted in gredient and coated on plates to isolate strains, and a total of 5 strains of aerobic bacteria were isolated. With bacterial genomic DNA as template, the universal primers of bacterial 16S rDNA （27f and 1 492r） were used to amplify the template, 4 restriction enzymes Hae Ⅲ and Hind Ⅲ, Hinf Ⅰ and Taq Ⅰ were used to carry out ARDRA polymorphism analysis on PCR products. [ Result] Clustering map analysis showed that 5 strains of aerobic bacteria clustered into two different taxonomic operating units （OTU） in 95% similarity level, this indicated that the genetic diversity level of intestinal aerobic bacteria in 2nd instar larvae of D. kikuchii was relatively low. The indoor toxicity test showed that the death peaks of insects killed by intestinal bacteria were during 4 - 10 d, the insecticidal effect of strain 4 was the best with corrected mortality rate of 53.57% at 12 d. [ Conclusion] The paper provided reference for control of D. kikuchii.

Phylogenetic analysis of aerobic anoxygenic phototrophic bacteria and their relatives based on farnesyl pyrophosphate synthase gene

The study aims to reveal phylogenetic and evolutionary relationship between aerobic anoxygenic phototrophic bacteria（AAnPB） and their relatives,anaerobic anoxygenic phototrophic bacteria（AnAnPB） and nonphototrophic bacteria（NPB,which had high homology of 16S rDNA gene with AAnPB and fell into the same genus）,and validate reliability and usefulness of farnesyl pyrophosphate synthase（FPPS） gene for the phylogenetic determination.FPPS genes with our modified primers and 16S rDNA genes with general primers,were amplified and sequenced or retrieved from GenBank database.In contrast to 16S rDNA gene phylogenetic tree,AAnPB were grouped into two clusters and one branch alone with no intermingling with NPB and AnAnPB in the tree constructed on FPPS.One branch of AAnPB,in both trees,was located closer to outgroup species than AnAnPB,which implicated that some AAnPB would be diverged earlier in FPPS evolutionary history than AnAnPB and NPB.Some AAnPB and NPB were closer located in both trees and this suggested that they were the closer relatives than AnAnPB.Combination codon usage in FPPS with phylogenetic analysis,the results indicates that FPPS gene and 16S rRNA gene have similar evolutionary pattern but the former seems to be more reliable and useful in determining the phylogenic and evolutionary relationship between AAnPB and their relatives.This is the first attempt to use a molecular marker beside 16S rRNA gene for studying the phylogeny of AAnPB,and the study may also be helpful in understanding the evolutionary relationship among phototrophic microbes and the trends of photosynthetic genes transfer.

Biological Nitrogen and COD Removal of Nutrient-Rich Wastewater Using Aerobic and Anaerobic Reactors

A preliminary study on nitrogen and organic removal efficiency of a lab-scale system using aerobic and an-aerobic reactors was performed. A simulated wastewater containing elevated levels of nitrogen was used. This paper aims to compare the efficiency of aerobic and anaerobic reactors in achieving nitrogen and chemical oxygen demand (COD) removal of nutrient-rich wastewater. It also presents the start-up experi-mentation conducted on simulated wastewater using two different reactors configured as aerobic and anaero-bic. Start-up experiments were carried out using a 5-liter acrylic aerobic reactor and a 4-liter flask anaerobic reactor containing activated sludge taken from De La Salle University (DLSU) wastewater treatment plant as a source of inoculum. Simulated wastewater was continuously fed to the two reactors and the time course of biomass growth was monitored by measuring the biomass concentration represented by mixed liquor volatile solids (MLVS). The time course of organic pollutant reduction by measuring the chemical oxygen demand (COD) was conducted until steady state condition was reached. On the other hand, COD and nitrogen tests such as Ammonia nitrogen (NH3-N), Nitrite nitrogen (NO2--N), Nitrate nitrogen (NO3--N) were also per-formed using 5 batch aerobic reactors containing different concentrations of wastewater and a single batch anaerobic reactor to see the effect of different feed concentrations in the removal of nitrogen. Preliminary results showed that 98% reduction in COD was obtained in aerobic reactor, as supported by increasing con-centration of MLVS, with a hydraulic retention time (HRT) of 5 hours after 11 days while 34% reduction in COD was obtained in anaerobic reactor with the same HRT after 14 days.

Aerobic Degradation Process in Palm Oil Mill— Issues, Challenges and Upsurging Its Efficiency through Bioremediation

Palm oil mill effluent (POME) is liquid waste produced from palm oil extraction process. Discharging it to the river without treatment is violation according to Malaysia Environment of Quality Act (EQA) 1974. In Malaysia, ponding system is a conventional treatment method for POME due to its economical and simple process. The treatment process mainly involves two main treatment phases;anaerobic and aerobic degradation. Anaerobic degradation has a proven track record in reducing pollutant properties in POME up to 85%. The real challenge is to increase the efficiency of aerobic process as the biological oxygen demand (BOD) discharge limit has been further reduced from 100 mg·L-1 to less than 20 mg·L-1. One of economical and feasible approach to increase the efficiency of aerobic phase is via bioremediation. This paper describes the limitation of aerobic degradation in ponding system, besides discussed on the important aspects that need to be optimized for a success implementation of bioremediation and its challenges.

¹³C/¹²C Isotope Fractionation during Aerobic and Anaerobic Biodegradation of Naphthalene

Microcosm experiments were conducted to determine the fractionation of stable carbon isotopes during biodegradation of naphthalene. The microcosms were performed under aerobic conditions, anaerobic (amended with sulfate, amended with nitrate and with no amendments) and sterile controls. The liquid phase was analyzed to determine naphthalene concentration and stable carbon isotope signature. Aerobic microcosm showed that naphthalene degraded aerobically within 60 hours. The δ13C increased from -25.5‰ to -25.1‰ (enrichment of 0.4‰ ± 0.08‰) in a single sample in which 95% of the naphthalene was biodegraded. Anaerobic microcosms show that after 288 days, the microcosms with no amendments, amended with nitrate and amended with sulfate had consumed respectively 30%, 50% and 60% of naphthalene on average, compared to control microcosms. Under the denitrifying conditions, the δ13C of naphthalene increased from -25.2‰ to -23.9‰ (enrichment of 1.3‰ ± 0.3‰) after a 95% of naphthalene biodegradation. For the unamended microcosms, a slight enrichment on δ13C napththalene was detected, from -25.2‰ to -24.5‰ (enrichment of 0.7‰ ± 0.3‰) after a biodegradation of approximately 65% of naphthalene (after 288 days). For sulfate reducing microcosms, no significant changes were detected on the δ13C during naphthalene biodegradation.

Comparative study of thermophilic and mesophilic anaerobic treatment of purified terephthalic acid (PTA) wastewater

The paper provides a critical comparison between mesophilic and thermophilic anaerobic treatment of PTA wastewater through diagnosis of a case study. Aspects covered are bioavailability, biodegradability, microbial population, thermodynamics, kinetics involved and bio-reactor design for PTA wastewater treatment. The results of the case study suggests that one- stage thermophilic anaerobic reactor coupled with coagulation-flocculation pre-treatment unit and an aerobic post treatment unit could be techno-economically viable for PTA wastewater treatment to ensure that the final effluent quality conforms to the international standard. The in-formation emanated from this study could be useful and thought provoking to the professionals and academia in the area of PTA wastewater treatment and can serve as impetus toward the development of research lines in similar problems like the treatment of other petrochemical wastewater such as phenol-con- taining wastewater, benzene/benzoic acid-con- taining wastewater or wastewater from other similar industrial settings.

Effects of Aerobic Conditioning on Individuals Post-Stroke: What Is the Evidence?

Background: Stroke has been considered the major cause of chronic disability in the world and ranks among the leading causes of death. Despite the fact that new vascular events often happen and risk factors are the same that Cardiovascular Diseases, secondary prevention through non-pharmacological measures, are not part of the routine physical rehabilitation after stroke. Objective: The aim is to answer the following clinical question: Should aerobic fitness be part of the physical rehabilitation of individuals post-stroke? Methodological Design: The methodology used in the study was an integrative literature review. Inclusion Criteria: Articles in English are published in secondary databases: systematic reviews with or without meta-analysis, which address the question PICO: patient (post-stroke), intervention (aerobic exercise), comparison (with or without aerobic conditioning) the outcome (volume of oxygen consumed peak (VO2peak), quality of life (QoL), morbidity and mortality). Outcomes: VO2peak, QoL, complications and mortality. Analysis of Studies: The methodological quality of included studies is assessed using the tools: PRISMA and R-AMSTAR. Results: There was “good” evidence for the inclusion of aerobic exercise on physical rehabilitation of post-stroke individuals to improve their physical capacity (VO2peak), facilitating the completion of activities of daily living and gait. There was weak evidence on the association of aerobic fitness with positive results on QoL in stroke victims and insufficient results to evaluate the effect of aerobic fitness on the risk of stroke recurrence and mortality. Conclusion: The aerobic conditioning should be included in the rehabilitation of stroke victims.

Racial variation of aerobic and anaerobic performances in sedentary men

The present study was designed to compare the effect of racial variations on short- and incremental maximal exercises in sedentary men whites (WT) and blacks (BT) Tunisian and South African (SA). In a randomized order, thirty-six physically sedentary men including 12 BT, 12 WT, and 12 SA were asked to perform a force-velocity (i.e., determination of maximal power (Pmax), F0, and V0) and a treadmill maximal aerobic (i.e., determination of maximal oxygen uptake (VO2 max)) tests. Pmax and F0 were significantly higher in SA than WT (p 0 values. Moreover, VO2 max was significantly higher in SA and BT than WT (p < 0.001). However, no significant difference was observed between SA and BT. Compared to white subjects, the present study’ results suggest the superiority of blacks races on aerobic and anaerobic exercises in physically sedentary men.

Combined alkaline and ultrasonic pretreatment of sludge before aerobic digestion

Alkaline and ultrasonic sludge disintegration can be used as the pretreatment of waste activated sludge （WAS） to promote the subsequent anaerobic or aerobic digestion. In this study, different combinations of these two methods were investigated. The evaluation was based on the quantity of soluble chemical oxygen demand （SCOD） in the pretreated sludge as well as the degradation of organic matter in the subsequent aerobic digestion. For WAS samples with combined pretreatment, the released COD levels were higher than those with ultrasonic or alkaline pretreatment alone. When combined with the ultrasonic treatment, NaOH treatment was more efficient than Ca（OH）2 for WAS solubilization. The COD levels released in various sequential options of combined NaOH and ultrasonic treatments were in the the following descending order： simultaneous treatment 〉 NaOH treatment followed by ultrasonic treatment 〉 ultrasonic treatment followed by NaOH treatment. For simultaneous treatment, low NaOH dosage （100 g/kg dry solid）, short duration （30 min） of NaOH treatment, and low ultrasonic specific energy （7500 kJ/kg dry solid） were suitable for sludge disintegration. Using combined NaOH and ultrasonic pretreatment with optimal parameters, the degradation efficiency of organic matter was increased from 38.0% to 50.7%, which is much higher than that with ultrasonic （42.5%） or with NaOH pretreatment （43.5%） in the subsequent aerobic digestion at the same retention time.